-
psnet.ahrq.gov/node/39959/psn-pdf
December 21, 2014 - hospital-process-compliance-and-surgical-outcomes-medicare-beneficiaries
Hospitals are now required to report adherence to measures intended
-
psnet.ahrq.gov/node/44490/psn-pdf
September 16, 2015 - implementation-custom-alert-prevent-medication-timing-errors-associated-
computerized
This study examined the effect of a custom alert intended
-
psnet.ahrq.gov/node/41852/psn-pdf
June 03, 2013 - implementation-josie-king-care-journal-pediatric-intensive-care-unit-quality-
improvement
The Josie King Care Journal is a tool intended
-
psnet.ahrq.gov/node/60562/psn-pdf
June 03, 2020 - ; similar to advanced directives
and other end-of-life care plans used in the United States) are intended
-
psnet.ahrq.gov/issue/investigation-management-venous-thromboembolism-risk-patients-following-thrombolysis-acute
November 13, 2019 - factors contributing to a pulmonary embolism in a recovering stroke patient exacerbated by a lack of intended
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psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
March 25, 2020 - The resident unintentionally located two vials of 100mg/mL ketamine instead of the intended 10mg/mL vials … The provider intended to administer 95mg of ketamine intravenously, but erroneously administered 950mg … doses of different drugs in his/her professional tenure. 3
This patient received ten times the intended
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psnet.ahrq.gov/issue/medical-errors-overcoming-challenges
September 29, 2017 - This commentary introduces several initiatives intended to help reduce medical error, such as development
-
psnet.ahrq.gov/primer/medication-administration-errors
December 15, 2024 - Patients are educated routinely to ensure understanding of indication for therapy, intended outcomes, … “walking” or tracing the infusion lines from the infusion pump to the vascular access to ensure the intended … drug library to ensure accurate pump programming is a key workflow step; not using the drug library as intended … Evidence suggests variable use of the drug library as intended; one study noted use ranging from 62%
-
psnet.ahrq.gov/issue/systematic-review-unintended-consequences-clinical-interventions-reduce-adverse-outcomes
November 15, 2023 - Interventions intended to enhance patient safety may have unanticipated consequences .
-
psnet.ahrq.gov/node/848037/psn-pdf
April 26, 2023 - for Older Adults in the Emergency Department
(EQUIIPPED) program is a multicomponent intervention intended
-
psnet.ahrq.gov/node/845361/psn-pdf
March 29, 2023 - visible (e.g., vocal cords), this approach allows for clear understanding of
the surgical procedure and intended
-
psnet.ahrq.gov/node/34742/psn-pdf
July 20, 2016 - The research comes
largely from research on culture and teamwork in aviation, but the intended audience
-
psnet.ahrq.gov/node/43926/psn-pdf
April 22, 2015 - This study of an after-hours rapid response team found that the team was not always activated as
intended
-
psnet.ahrq.gov/node/43353/psn-pdf
July 16, 2014 - survey-suggests-possible-downward-trend-identifying-key-drugsdrug-classes-
high-alert
This newsletter article describes the results of a survey of prescribers intended
-
psnet.ahrq.gov/node/46530/psn-pdf
February 03, 2018 - identifying-and-characterizing-preventable-adverse-drug-events-prioritizing-
pharmacist
This study reports the results of a literature review and expert panel process intended
-
psnet.ahrq.gov/node/45498/psn-pdf
August 02, 2017 - staff engagement with
the intervention was highly variable and the intervention was not implemented as intended
-
psnet.ahrq.gov/node/37686/psn-pdf
November 30, 2016 - The 2008 update is intended to serve as a "rolling benchmark" that hospitals may use for
comparative
-
psnet.ahrq.gov/node/42432/psn-pdf
August 07, 2013 - adoption-electronic-health-records-grows-rapidly-fewer-half-us-hospitals-had-
least-basic
Despite considerable federal financial incentives intended
-
psnet.ahrq.gov/issue/decreasing-prescribing-errors-antimicrobial-stewardship-program-restricted-medications
September 25, 2024 - In this quality improvement study, researchers implemented a standardized workflow intended to reduce
-
psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
September 15, 2024 - have undergone surgery on the wrong body part, undergone the incorrect procedure, or had a procedure intended … A classic case of wrong-patient surgery involved a patient who underwent a cardiac procedure intended